Individual
MRS. STACY CATHLEEN HOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-BC
Contact information
Practice address
217 HILLCREST ST, ORLANDO, FL 32801-1211
(407) 425-1566
Mailing address
217 HILLCREST ST, ORLANDO, FL 32801-1211
(407) 425-1566
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9298187
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN9298187
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021477800
—
FL
Enumeration date
07/05/2017
Last updated
02/08/2023
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